Individual
LAUREN MARIE GOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5115 N BILTMORE LN, MADISON, WI 53718-2161
(608) 592-8100
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301017819
MI
103T00000X
Psychologist
Primary
21123
WI
103T00000X
Psychologist
6301017819
MI
103TR0400X
Rehabilitation Psychologist
6301017819
MI
Other
Enumeration date
03/28/2017
Last updated
07/25/2023
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